County Health Rankings, Priorities,
Resources and Critical Services
2013
Local Health Department Name
and Logo
45 Local Health Departments
What Services are Critical?
• Community Health Services
–
–
–
–
–
–
–
–
–
–
–
–
–
–
WIC
Family Planning
Immunizations
Communicable Disease Control
STD testing, treatment, counseling,
and follow-up
Tuberculosis Control
HIV counseling & testing
Children’s Special Health Care
Services
Maternity Outpatient Medical
Services (M.O.M.S), MIChild Healthy
Kids Enrollment
Maternal Infant Health Program
Breast & Cervical Cancer Control
Program (BCCCP)
Hearing & Vision
Health education
Emergency Preparedness
• Environmental Health Programs
–
–
–
–
–
Surface & Groundwater Control
• Well & Septic System inspections
and permits
• Regulate the service of septic
tanks, portable toilets and
septage waste haulers
Food Service Sanitation Program
• Advanced food training Classes
• Inspections
Environmental Quality
• public swimming pools, spas,
and hot tubs inspections
• Campground inspections
• Radon test kits
• Lead testing in homes
Department of Human Services –
Licensed Facility Inspections
Rabies Investigations
Funding for
(insert LHD Name)
State
Federal
Local
Fees
Other
Essential Local Public Health Services
2003 to 2012
60
$48.2
50
$40.8
$37.4
40
30
20
10
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
GF ELPHS Funding (millions $)
40.8
40.6
39.9
38
40.6
40.6
39.1
40.1
39.1
37.4
Adjusted CPI
40.8
41.9
43.3
44.7
45.9
47.7
47.5
48.2
GF ELPHS Funding (millions $)
Adjusted CPI
Public Health Services of Note by
xxxx Health Dept.
2012
2013
County Health Rankings
• What: State-by-state rankings of the
health of each county in the United
States
• Who: The Robert Wood Johnson
Foundation (RWJF) and The University
of Wisconsin Population Health
Institute (UWPHI)
• When: Annually - Data Release March
2012
• Where: www.countyhealthrankings.org
Why County Health Rankings?
• Where we live, learn, work and play influence how
healthy we are and how long we live.
• Many factors contribute to health. Health is more
than health care.
• The County Health Rankings are one of many tools
for communities to figure out where they are doing
well and where they are not -- so they can work
together to make changes.
Every County is ranked on:
Health Outcomes
Health Factors
(how healthy we are)
(how healthy we can be)
• Mortality (50%): Measures
how long people live
• Morbidity (50%):
Measures how healthy
people feel while alive
• Much of what influences
our health happens
outside of the doctor’s
office
• The Rankings look at:
•
•
•
•
Health behaviors
Clinical care
Social and economic factors
Physical environment
Mortality (length of life): 50%
Health Outcomes
Morbidity (quality of life): 50%
Tobacco use
Health behaviors
(30%)
Diet & exercise
Alcohol use
Unsafe sex
Clinical care
(20%)
Access to care
Quality of care
Health Factors
Education
Employment
Social & economic factors
(40%)
Income
Family & social support
Community safety
Programs and Policies
Physical environment
(10%)
Environmental quality
Built environment
County Health Rankings model © 2010 UWPHI
www.countyhealthrankings.org
11
2012 Health Outcomes Rankings
Health
Outcomes
(Insert
County)
Rank (of 82)
Mortality
(Insert Rank)
Morbidity
(Insert Rank)
2012 Health Outcomes Rankings
County
Rank
of 82
Mortality
50%
Morbidity
50%
Leelanau
1
1
7
Ottawa
2
4
2
Clinton
3
2
18
Livingston
4
6
3
Washtenaw
5
5
14
2012 Health Factors Rankings
Health
Factors
(Insert
County)
Rank (of 82)
Health
Behaviors
(Insert Rank)
Clinical Care
(Insert Rank)
Social &
Economic
Factors
(Insert Rank)
Physical
Environment
(Insert Rank)
2012 Health Factors Rankings
County
Rank
Health
Clinical Social &
Physical
of 82 Behaviors Care
Economic Environment
30%
20%
40%
10%
Washtenaw
1
1
1
2
68
Livingston
2
3
16
3
42
Leelanau
3
6
14
4
7
Marquette
4
9
3
5
53
Ottawa
5
2
7
7
78
2012 CHR: Children in Poverty
Summary Information:
Range in Michigan 8-45%
(Min-Max):
Overall in
Michigan:
23%
National
Benchmark:
13% (90th
percentile)
Ranking Methodology:
Summary Measure
Health Factors –
Weight in Health
Outcomes
10%
Social &
Economic Factors
Years of Data Used: 2010
2012 CHR: Adult Obesity
Summary Information:
Range in Michigan 25-40%
(Min-Max):
Overall in
Michigan:
32%
National
Benchmark:
25% (90th
percentile)
Ranking Methodology:
Summary Measure
Health Factors –
Weight in Health
Outcomes
7.5%
Health Behaviors
Years of Data Used: 2009
Obesity
• (add Scoring for (county) (counties)
• Local Programs to address
Obesity: Michigan’s Plan
•
•
•
•
•
•
•
•
Public Awareness Campaign: MI Healthier Tomorrow
Community Coalitions
Policy and Environmental Changes
State Level Coordination
Businesses
Healthcare Agencies
State Agencies
Schools
2012 CHR: Adult Smoking
Summary Information:
Range in Michigan 10-33%
(Min-Max):
Overall in
Michigan:
21%
National
Benchmark:
14% (90th
percentile)
Ranking Methodology:
Summary Measure
Health Factors –
Weight in Health
Outcomes
10%
Health Behaviors
Years of Data Used: 2004-2010
2012 CHR: Low Birth Weight
Summary Information:
Range in Michigan 4.3-10.5%
(Min-Max):
Overall in
Michigan:
8.3%
National
Benchmark:
6.0% (90th
percentile)
Ranking Methodology:
Summary Measure
Health Outcomes
– Morbidity
Weight in Health
Outcomes
20%
Years of Data Used: 2002-2008
Low Birth Weight
• Specific percentage for county (counties)
• Programs to address Low Birth Weight
Infant Mortality: Michigan Plan
•
•
•
•
•
•
•
Improve Women’s Health
Home Visiting
Safe Sleep
Prenatal System
Eliminate Early Deliveries
High Risk for Preterm Intervention
Address Social Determinants of Health
For More Information:
www.countyhealthrankings.org
Why is public health cost effective?
• Add stat for LPH (general)
• Add specific stat for particular LPH
Resource Needs
•
•
•
•
•
Funding Needs
Xxx
Xxx
Xxx
Gov’r: Obesity and Infant Mortality
Summary
•
•
•
•
Public Health is Valuable
Data is available to demonstrate priorities
Obesity and Infant Mortality
Public Health is Cost Effective